Wallace Andrews LLC

NPI #1124705587 in Phoenix, Arizona

Provider Information

NPI Number: 1124705587
Entity Type: Organization
Organization Name: Wallace Andrews LLC
Primary Specialty: Behavior Technician
Enumeration Date: Jun 28, 2023
Last Updated: Jun 29, 2023

Practice Location

Address: 1121 W BELL RD STE 373
City: Phoenix
State: Arizona
ZIP Code: 85023-3516
Phone: (480) 925-1393

Authorized Official

Name: MR. WALLACE CLYDE ANDREWS III, BEHAVIORAL HEALTH
Title: BHT/FACILITATOR/WELLNESS COACH
Phone: (480) 925-1393

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Poetry Therapist	102X00000X
Health & Wellness Coach	171400000X
Recreation Therapist	225800000X
In Home Supportive Care	253Z00000X
Religious Nonmedical Health Care Institution	282J00000X
Behavior Technician	106S00000X	Primary

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